BARRY LAWRENCE BAKER DDS - Dentist License in Illinois | # 021000793

BARRY LAWRENCE BAKER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000793

License Status

NOT RENEWED

Business

N

First Name

BARRY LAWRENCE

Last Name

BAKER

Suffix

DDS

Business Name

BARRY LAWRENCE BAKER DDS

Original Issue Date

12/17/1973

Effective Date

07/10/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

11/14/2012